Gender to Diagnosis Code & Procedure Code Policy, Professional · 2020-05-27 · Title: Gender to...

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REIMBURSEMENT POLICY CMS-1500 Policy Number 2020R7121B Proprietary information of UnitedHealthcare Community Plan. Copyright 2020 United HealthCare Services, Inc. 2020R7121B Gender to Diagnosis Code & Procedure Code Policy, Professional IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT ® *), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 for Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. This information is intended to serve only as a general reference resource regarding UnitedHealthcare Community Plan’s reimbursement policy for the services described and is not intended to address every aspect of a reimbursement situation. Accordingly, UnitedHealthcare Community Plan may use reasonable discretion in interpreting and applying this policy to health care services provided in a particular case. Further, the policy does not address all issues related to reimbursement for health care services provided to UnitedHealthcare Community Plan enrollees. Other factors affecting reimbursement supplement, modify or, in some cases, supersede this policy. These factors include, but are not limited to: federal &/or state regulatory requirements, the physician or other provider contracts, the enrollee’s benefit coverage documents, and/or other reimbursement, medical or drug policies. Finally, this policy may not be implemented exactly the same way on the different electronic claims processing systems used by UnitedHealthcare Community Plan due to programming or other constraints; however, UnitedHealthcare Community Plan strives to minimize these variations. UnitedHealthcare Community Plan may modify this reimbursement policy at any time by publishing a new version of the policy on this Website. However, the information presented in this policy is accurate and current as of the date of publication. UnitedHealthcare Community Plan uses a customized version of the Optum Claims Editing System known as iCES Clearinghouse to process claims in accordance with UnitedHealthcare Community Plan reimbursement policies. CPT Copyright American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association. Application This reimbursement policy applies to UnitedHealthcare Community Plan Arizona, Kansas and Missouri Medicaid products. This reimbursement policy applies to services reported using the 1500 Health Insurance Claim Form (a/k/a CMS -1500) or its electronic equivalent or its successor form. This policy applies to all Arizona, Kansas and Missouri Medicaid products and all network and non-network physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals. Policy Overview Gender designations are assigned to select World Health Organization (WHO) International Classification of Diseases, Ninth Revision (ICD-10-CM) codes based on code descriptions or on publications and guidelines from sources such as prof essional specialty societies, the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA) or the AHA (American Hospital Association) Coding Clinic. Gender editing can result in incorrect denials for claims for transgender and hermaphrodite members. Reimbursement Guidelines UnitedHealthcare Community Plan will apply gender edits to Arizona, Kansas and Missouri Medicaid claims when diagnosis &/or procedure codes are reported inappropriately for the patient's gender.

Transcript of Gender to Diagnosis Code & Procedure Code Policy, Professional · 2020-05-27 · Title: Gender to...

  • REIMBURSEMENT POLICY

    CMS-1500 Policy Number 2020R7121B

    Proprietary information of UnitedHealthcare Community Plan. Copyright 2020 United HealthCare Services, Inc. 2020R7121B

    Gender to Diagnosis Code & Procedure Code Policy, Professional

    IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 for Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. This information is intended to serve only as a general reference resource regarding UnitedHealthcare Community Plan’s reimbursement policy for the services described and is not intended to address every aspect of a reimbursement situation. Accordingly, UnitedHealthcare Community Plan may use reasonable discretion in interpreting and applying this policy to health care services provided in a particular case. Further, the policy does not address all issues related to reimbursement for health care services provided to UnitedHealthcare Community Plan enrollees. Other factors affecting reimbursement supplement, modify or, in some cases, supersede this policy. These factors include, but are not limited to: federal &/or state regulatory requirements, the physician or other provider contracts,

    the enrollee’s benefit coverage documents, and/or other reimbursement, medical or drug policies. Finally, this policy may not be implemented exactly the same way on the different electronic claims processing systems used by UnitedHealthcare Community Plan due to programming or other constraints; however, UnitedHealthcare Community Plan strives to minimize these variations. UnitedHealthcare Community Plan may modify this reimbursement policy at any time by publishing a new version of the policy on this Website. However, the information presented in this policy is accurate and current as of the date of publication. UnitedHealthcare Community Plan uses a customized version of the Optum Claims Editing System known as iCES Clearinghouse to process claims in accordance with UnitedHealthcare Community Plan reimbursement policies. CPT Copyright American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.

    Application

    This reimbursement policy applies to UnitedHealthcare Community Plan Arizona, Kansas and Missouri Medicaid products. This reimbursement policy applies to services reported using the 1500 Health Insurance Claim Form (a/k/a CMS-1500) or its electronic equivalent or its successor form. This policy applies to all Arizona, Kansas and Missouri Medicaid products and all network and non-network physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals.

    Policy

    Overview

    Gender designations are assigned to select World Health Organization (WHO) International Classification of Diseases, Ninth Revision (ICD-10-CM) codes based on code descriptions or on publications and guidelines from sources such as professional specialty societies, the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA) or the AHA (American Hospital Association) Coding Clinic. Gender editing can result in incorrect denials for claims for transgender and hermaphrodite members.

    Reimbursement Guidelines

    UnitedHealthcare Community Plan will apply gender edits to Arizona, Kansas and Missouri Medicaid claims when diagnosis &/or procedure codes are reported inappropriately for the patient's gender.

  • REIMBURSEMENT POLICY

    CMS-1500 Policy Number 2020R7121B

    Proprietary information of UnitedHealthcare Community Plan. Copyright 2020 United HealthCare Services, Inc. 2020R7121B

    State Exceptions

    Arizona Arizona Health Care Cost Containment System (AHCCCS), which is the Arizona (AZ) Medicaid program, publishes customized, State identified gender designated CPT and ICD-10 code lists which are included in this policy. AHCCCS requires review of documentation and authorization before denying for inappropriate gender. CPT and HCPCS codes billed with modifier KX are exempt from gender edit requirements for Arizona Medicaid. (i.e. transgender or hermaphrodite members) AHCCCS follows CMS guidelines which state: “Use of the KX modifier will alert the MAC that the physician/practitioner is performing a service on a patient for whom gender specific editing may apply, but should have such editing by-passed for the benef iciary.” (CMS Transmittal 1877) (MLN Matters #MM6638)

    Kansas Kansas Medicaid only applies gender editing to ICD10 Codes. Kansas Medicaid publishes a customized, State identified gender designated ICD-10 code list which is included in this policy.

    Missouri Missouri Medicaid publishes customized, State identified gender designated CPT and ICD-10 code lists which are included in this policy.

    Definitions

    Modifier KX

    Per MLN Matters #6638: “The KX modifier, which is defined as “Requirements specified in the medical policy have been met”, is a multipurpose informational modifier for Part B professional claims. In addition to its other existing uses, the KX modifier should also be used to identify services that are gender specific (i.e., services that are considered female or male only) for effected beneficiaries on claims submitted by physicians and non-physician practitioners to Medicare carriers and MACs. Use of the KX modifier will alert the carrier/MAC that the physician/practitioner is performing a service on a patient for whom gender specific editing may apply, and that the service should be allowed to continue with normal processing. Payment will be made if the coverage and reporting criteria have been met for the service.”

    Attachments

    Arizona Medicaid ICD-10 to Gender Policy List

    ICD-10 codes with designated appropriate gender for Arizona Medicaid.

    Arizona Medicaid Procedure to Gender Policy List

    CPT codes with designated appropriate gender for Arizona Medicaid

  • Diagnosis Positive Gender

    A1814 M

    A1815 M

    A1816 F

    A1817 F

    A1818 F

    A34 F

    A5142 F

    A5402 F

    A5403 F

    A5422 M

    A5423 M

    A5424 F

    A5602 F

    A5611 F

    A5901 F

    A5902 M

    A6001 M

    A6002 M

    A6003 F

    A6004 F

    B260 M

    B373 F

    B3742 M

    B3881 M

    C50011 F

    C50012 F

    C50019 F

    C50021 M

    C50022 M

    C50029 M

    C50111 F

    C50112 F

    C50119 F

    C50121 M

    C50122 M

    C50129 M

    C50211 F

    C50212 F

    C50219 F

    C50221 M

    C50222 M

    C50229 M

    C50311 F

    C50312 F

    C50319 F

    C50321 M

    Arizona Medicaid ICD-10 to

    Gender Policy List

  • C50322 M

    C50329 M

    C50411 F

    C50412 F

    C50419 F

    C50421 M

    C50422 M

    C50429 M

    C50511 F

    C50512 F

    C50519 F

    C50521 M

    C50522 M

    C50529 M

    C50611 F

    C50612 F

    C50619 F

    C50621 M

    C50622 M

    C50629 M

    C50811 F

    C50812 F

    C50819 F

    C50821 M

    C50822 M

    C50829 M

    C541 F

    C50911 F

    C50912 F

    C50919 F

    C50921 M

    C50922 M

    C50929 M

    C510 F

    C511 F

    C512 F

    C518 F

    C519 F

    C52 F

    C530 F

    C531 F

    C538 F

    C539 F

    C540 F

    C542 F

    C543 F

    C548 F

    C549 F

    C55 F

    C561 F

    C562 F

    C569 F

  • C5700 F

    C5701 F

    C5702 F

    C5710 F

    C5711 F

    C5712 F

    C5720 F

    C5721 F

    C5722 F

    C573 F

    C574 F

    C577 F

    C578 F

    C579 F

    C58 F

    C600 M

    C601 M

    C602 M

    C608 M

    C609 M

    C61 M

    C6200 M

    C6201 M

    C6202 M

    C6210 M

    C6211 M

    C6212 M

    C6290 M

    C6291 M

    C6292 M

    C6300 M

    C6301 M

    C6302 M

    C6310 M

    C6311 M

    C6312 M

    C632 M

    C637 M

    C638 M

    C639 M

    C7960 F

    C7961 F

    C7962 F

    D060 F

    D061 F

    D067 F

    D069 F

    D070 F

    D071 F

    D072 F

    D0730 F

    D0739 F

  • D074 M

    D075 M

    D0760 M

    D0761 M

    D0769 M

    D176 M

    D261 F

    D250 F

    D251 F

    D252 F

    D259 F

    D260 F

    D267 F

    D269 F

    D270 F

    D271 F

    D279 F

    D280 F

    D281 F

    D282 F

    D287 F

    D289 F

    D290 M

    D291 M

    D2920 M

    D2921 M

    D2922 M

    D2930 M

    D2931 M

    D2932 M

    D294 M

    D298 M

    D299 M

    D390 F

    D3910 F

    D3911 F

    D3912 F

    D392 F

    D398 F

    D399 F

    D400 M

    D4010 M

    D4011 M

    D4012 M

    D408 M

    D409 M

    E280 F

    E281 F

    E282 F

    E28310 F

    E28319 F

    E2839 F

  • E288 F

    E289 F

    E290 M

    E291 M

    E298 M

    E299 M

    E8940 F

    E8941 F

    E895 M

    F5221 M

    F5222 F

    F5231 F

    F5232 M

    F524 M

    F525 F

    F526 F

    G43821 F

    G43829 F

    G43831 F

    G43839 F

    I861 M

    I863 F

    J8481 F

    L291 M

    L292 F

    N411 M

    N400 M

    N401 M

    N402 M

    N403 M

    N410 M

    N412 M

    N413 M

    N414 M

    N418 M

    N419 M

    N420 M

    N421 M

    N423 M

    N4281 M

    N4282 M

    N4283 M

    N4289 M

    N429 M

    N430 M

    N431 M

    N432 M

    N433 M

    N4340 M

    N4341 M

    N4342 M

    N4400 M

  • N4401 M

    N4402 M

    N4403 M

    N4404 M

    N441 M

    N442 M

    N448 M

    N451 M

    N452 M

    N453 M

    N454 M

    N4601 M

    N46021 M

    N46022 M

    N46023 M

    N46024 M

    N46025 M

    N46029 M

    N4611 M

    N46121 M

    N46122 M

    N46123 M

    N46124 M

    N46125 M

    N46129 M

    N468 M

    N469 M

    N470 M

    N471 M

    N472 M

    N473 M

    N474 M

    N475 M

    N476 M

    N477 M

    N478 M

    N480 M

    N481 M

    N4821 M

    N4822 M

    N4829 M

    N4830 M

    N4831 M

    N4832 M

    N4833 M

    N4839 M

    N485 M

    N486 M

    N4881 M

    N4882 M

    N4883 M

    N4889 M

  • N489 M

    N490 M

    N491 M

    N492 M

    N493 M

    N498 M

    N499 M

    N500 M

    N501 M

    N503 M

    N508 M

    N509 M

    N51 M

    N5201 M

    N5202 M

    N5203 M

    N521 M

    N522 M

    N5231 M

    N5232 M

    N5233 M

    N5234 M

    N5239 M

    N528 M

    N529 M

    N5311 M

    N5312 M

    N5313 M

    N5314 M

    N5319 M

    N538 M

    N539 M

    N7001 F

    N7002 F

    N7003 F

    N7011 F

    N7012 F

    N7013 F

    N7091 F

    N7092 F

    N7093 F

    N710 F

    N711 F

    N719 F

    N72 F

    N730 F

    N8181 F

    N731 F

    N732 F

    N733 F

    N734 F

    N735 F

  • N736 F

    N738 F

    N739 F

    N74 F

    N750 F

    N751 F

    N758 F

    N759 F

    N760 F

    N761 F

    N762 F

    N763 F

    N764 F

    N765 F

    N766 F

    N7681 F

    N7689 F

    N770 F

    N771 F

    N800 F

    N801 F

    N802 F

    N803 F

    N804 F

    N805 F

    N806 F

    N808 F

    N809 F

    N810 F

    N8110 F

    N8111 F

    N8112 F

    N812 F

    N813 F

    N814 F

    N815 F

    N816 F

    N8182 F

    N8183 F

    N8184 F

    N8185 F

    N8189 F

    N819 F

    N820 F

    N821 F

    N822 F

    N823 F

    N824 F

    N825 F

    N828 F

    N829 F

    N830 F

  • N831 F

    N8320 F

    N8329 F

    N8331 F

    N8332 F

    N8333 F

    N834 F

    N8351 F

    N8352 F

    N8353 F

    N836 F

    N837 F

    N838 F

    N839 F

    N840 F

    N841 F

    N842 F

    N843 F

    N848 F

    N849 F

    N8500 F

    N8501 F

    N8502 F

    N852 F

    N853 F

    N854 F

    N855 F

    N856 F

    N857 F

    N858 F

    N859 F

    N86 F

    N870 F

    N871 F

    N879 F

    N880 F

    N881 F

    N882 F

    N883 F

    N884 F

    N888 F

    N889 F

    N890 F

    N891 F

    N893 F

    N894 F

    N895 F

    N896 F

    N897 F

    N898 F

    N899 F

    N900 F

  • N901 F

    N903 F

    N904 F

    N905 F

    N906 F

    N907 F

    N90810 F

    N90811 F

    N90812 F

    N90813 F

    N90818 F

    N9089 F

    N909 F

    N910 F

    N911 F

    N912 F

    N913 F

    N914 F

    N915 F

    N920 F

    N921 F

    N922 F

    N923 F

    N924 F

    N925 F

    N926 F

    N930 F

    N938 F

    N939 F

    N940 F

    N941 F

    N942 F

    N943 F

    N944 F

    N945 F

    N946 F

    N94810 F

    N94818 F

    N94819 F

    N9489 F

    N949 F

    N950 F

    N951 F

    N952 F

    N958 F

    N959 F

    N96 F

    N970 F

    N971 F

    N972 F

    N978 F

    N979 F

  • N981 F

    N982 F

    N983 F

    N988 F

    N989 F

    N99110 M

    N99114 M

    N9912 F

    N992 F

    N993 F

    N9983 F

    O000 F

    O001 F

    O002 F

    O008 F

    O009 F

    O021 F

    O0289 F

    O030 F

    O031 F

    O0333 F

    O0335 F

    O0338 F

    O035 F

    O036 F

    O037 F

    O0380 F

    O0381 F

    O0382 F

    O0383 F

    O0384 F

    O0385 F

    O0386 F

    O0387 F

    O0388 F

    O0389 F

    O039 F

    O045 F

    O046 F

    O047 F

    O0480 F

    O0481 F

    O0482 F

    O0483 F

    O0484 F

    O0485 F

    O0486 F

    O0488 F

    O070 F

    O071 F

    O0730 F

    O0732 F

  • O0733 F

    O0734 F

    O0735 F

    O0737 F

    O0739 F

    O074 F

    O080 F

    O081 F

    O086 F

    O087 F

    O0883 F

    O089 F

    O0900 F

    O0901 F

    O0902 F

    O0903 F

    O0910 F

    O0911 F

    O0912 F

    O0913 F

    O09211 F

    O09212 F

    O09213 F

    O09219 F

    O09291 F

    O09292 F

    O09293 F

    O09299 F

    O0930 F

    O0931 F

    O0932 F

    O0933 F

    O0941 F

    O0942 F

    O0943 F

    O0970 F

    O0971 F

    O0972 F

    O0973 F

    O09811 F

    O09813 F

    O09819 F

    O09821 F

    O09822 F

    O09829 F

    O09891 F

    O09892 F

    O09899 F

    O0990 F

    O0991 F

    O0992 F

    O0993 F

  • O10011 F

    O10013 F

    O10019 F

    O1002 F

    O1003 F

    O10112 F

    O10113 F

    O10119 F

    O1012 F

    O1013 F

    O10211 F

    O10212 F

    O10213 F

    O10219 F

    O1022 F

    O1023 F

    O10311 F

    O10319 F

    O1033 F

    O10411 F

    O10412 F

    O10413 F

    O10419 F

    O1042 F

    O1043 F

    O10911 F

    O10912 F

    O10913 F

    O10919 F

    O1092 F

    O1093 F

    O111 F

    O112 F

    O113 F

    O119 F

    O1200 F

    O1201 F

    O1203 F

    O1210 F

    O1212 F

    O133 F

    O1423 F

    O2201 F

    O2202 F

    O2203 F

    O2210 F

    O2223 F

    O2242 F

    O2243 F

    O2250 F

    O2251 F

    O2252 F

  • O2253 F

    O228X1 F

    O228X9 F

    O2290 F

    O2291 F

    O2292 F

    O2293 F

    O2330 F

    O2331 F

    O2332 F

    O2333 F

    O2340 F

    O2341 F

    O2342 F

    O2343 F

    O23591 F

    O23592 F

    O23593 F

    O23599 F

    O2390 F

    O2392 F

    O2393 F

    O24011 F

    O24013 F

    O24019 F

    O2403 F

    O24111 F

    O24112 F

    O24113 F

    O24119 F

    O2412 F

    O2413 F

    O24311 F

    O24312 F

    O24319 F

    O24414 F

    O24419 F

    O24424 F

    O24429 F

    O24430 F

    O24434 F

    O24439 F

    O24811 F

    O24812 F

    O24813 F

    O24819 F

    O2482 F

    O2483 F

    O24911 F

    O24919 F

    O2620 F

    O2622 F

  • O2623 F

    O2630 F

    O2631 F

    O2632 F

    O2633 F

    O2640 F

    O2641 F

    O2642 F

    O2643 F

    O2650 F

    O2651 F

    O26611 F

    O26613 F

    O26619 F

    O2662 F

    O26711 F

    O26712 F

    O26719 F

    O26819 F

    O26821 F

    O26891 F

    O26893 F

    O26899 F

    O2690 F

    O281 F

    O282 F

    O284 F

    O285 F

    O289 F

    O29011 F

    O29012 F

    O29013 F

    O29019 F

    O29021 F

    O29022 F

    O29023 F

    O29029 F

    O29091 F

    O29092 F

    O29093 F

    O29099 F

    O29111 F

    O29112 F

    O29113 F

    O29119 F

    O29121 F

    O29122 F

    O29123 F

    O29129 F

    O29191 F

    O29192 F

    O29193 F

  • O29199 F

    O29211 F

    O29212 F

    O29213 F

    O29219 F

    O29291 F

    O29292 F

    O29293 F

    O29299 F

    O293X1 F

    O293X2 F

    O293X3 F

    O293X9 F

    O2940 F

    O2941 F

    O2942 F

    O2943 F

    O295X1 F

    O295X2 F

    O295X3 F

    O295X9 F

    O2960 F

    O2962 F

    O2963 F

    O298X1 F

    O298X2 F

    O298X3 F

    O298X9 F

    O2990 F

    O2991 F

    O2992 F

    O2993 F

    O30001 F

    O30002 F

    O30003 F

    O30009 F

    O30011 F

    O30019 F

    O30021 F

    O30039 F

    O30049 F

    O30091 F

    O30099 F

    O30101 F

    O30102 F

    O30103 F

    O30111 F

    O30113 F

    O30119 F

    O30121 F

    O3090 F

    O30122 F

  • O30123 F

    O30129 F

    O30192 F

    O30201 F

    O30202 F

    O30203 F

    O30209 F

    O30211 F

    O30212 F

    O3102X2 F

    O30213 F

    O30219 F

    O30221 F

    O30222 F

    O30223 F

    O30229 F

    O30291 F

    O30292 F

    O30293 F

    O30801 F

    O30802 F

    O30803 F

    O30809 F

    O30811 F

    O30813 F

    O30821 F

    O30822 F

    O30823 F

    O30829 F

    O30892 F

    O30899 F

    O3092 F

    O3100X1 F

    O3101X1 F

    O3102X1 F

    O3102X3 F

    O3102X4 F

    O3102X5 F

    O3102X9 F

    O3103X0 F

    O3110X1 F

    O3110X4 F

    O3111X0 F

    O3111X1 F

    O3111X3 F

    O3111X4 F

    O3111X5 F

    O3112X1 F

    O3112X4 F

    O3112X5 F

    O3113X0 F

    O3113X3 F

  • O3113X9 F

    O3120X0 F

    O3120X2 F

    O3120X5 F

    O3121X1 F

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    O339 F

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  • O34531 F

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    O1500 F

    O1502 F

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    O151 F

    O152 F

  • O24012 F

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    O4401 F

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    O360910 F

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  • O360929 F

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    O360991 F

    O360992 F

    O360993 F

    O361110 F

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    O361120 F

    O361122 F

    O361124 F

    O361125 F

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    O361190 F

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    O361195 F

    O361199 F

    O361910 F

    O361911 F

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    O361914 F

    O361915 F

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    O361925 F

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    O361931 F

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  • O361934 F

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    O364XX0 F

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    O365111 F

    O365114 F

    O365115 F

    O365120 F

    O365123 F

    O365129 F

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  • O365931 F

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  • O3673X9 F

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  • O3691X5 F

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    O4200 F

    O42011 F

    O42012 F

    O42013 F

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    O4202 F

    O4210 F

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    O4212 F

    O4290 F

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  • O43023 F

    O43029 F

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    O43112 F

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    O43121 F

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    O43233 F

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    O4403 F

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    O4591 F

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    O4700 F

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  • O6010X3 F

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    O4402 F

    O4410 F

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  • O649XX0 F

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    O653 F

    O654 F

    O655 F

    O659 F

    O6641 F

    O669 F

    O670 F

    O678 F

    O679 F

    O68 F

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    O9903 F

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  • O699XX1 F

    O699XX2 F

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    O704 F

    O7100 F

    O731 F

    O740 F

    O741 F

    O742 F

    O743 F

    O745 F

    O746 F

    O749 F

    O753 F

    O755 F

    O7582 F

    O76 F

    O770 F

    O771 F

    O778 F

    O779 F

    O80 F

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    O892 F

    O894 F

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    O898 F

    O902 F

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  • O92119 F

    O9212 F

    O9213 F

    O9220 F

    O9229 F

    O923 F

    O924 F

    O925 F

    O926 F

    O94 F

    O98312 F

    O9832 F

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    O98711 F

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    O9872 F

    O9873 F

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    O9883 F

    O98911 F

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    O9892 F

    O9893 F

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    O99013 F

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    O9913 F

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    O99283 F

    O99284 F

    O99285 F

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    O99342 F

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  • O99344 F

    O99345 F

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    O99351 F

    O99352 F

    O99353 F

    O99354 F

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    O99412 F

    O99413 F

    O99419 F

    O9942 F

    O9943 F

    O99511 F

    O99512 F

    O99513 F

    O9972 F

    O99519 F

    O9953 F

    O99611 F

    O99612 F

    O99613 F

    O99619 F

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    O99712 F

    O99713 F

    O99719 F

    O99810 F

    O99834 F

    O99835 F

    O99840 F

    O99841 F

    O99842 F

    O99843 F

    O9989 F

    O9A119 F

    O9A211 F

    O9A213 F

    O9A23 F

    O9A519 F

    P835 M

    Q522 F

    Q5001 F

    Q5002 F

    Q501 F

    Q502 F

    Q5031 F

    Q5032 F

    Q5039 F

    Q504 F

    Q505 F

    Q506 F

  • Q510 F

    Q5110 F

    Q5111 F

    Q512 F

    Q513 F

    Q514 F

    Q515 F

    Q516 F

    Q517 F

    Q51810 F

    Q51811 F

    Q51818 F

    Q51820 F

    Q51821 F

    Q51828 F

    Q519 F

    Q520 F

    Q5210 F

    Q5211 F

    Q5212 F

    Q523 F

    Q524 F

    Q525 F

    Q526 F

    Q5270 F

    Q5271 F

    Q5279 F

    Q528 F

    Q529 F

    Q5300 M

    Q5301 M

    Q5302 M

    Q5310 M

    Q5311 M

    Q5312 M

    Q5320 M

    Q5321 M

    Q5322 M

    Q539 M

    Q540 M

    Q541 M

    Q542 M

    Q543 M

    Q544 M

    Q548 M

    Q549 M

    Q550 M

    Q551 M

    Q5520 M

    Q5521 M

    Q5522 M

    Q5523 M

  • Q5529 M

    Q553 M

    Q554 M

    Q555 M

    Q5561 M

    Q5562 M

    Q5563 M

    Q5564 M

    Q5569 M

    Q557 M

    Q558 M

    Q559 M

    Q561 M

    Q562 F

    Q640 M

    Q960 F

    Q961 F

    Q962 F

    Q963 F

    Q964 F

    Q968 F

    Q969 F

    Q970 F

    Q971 F

    Q972 F

    Q973 F

    Q978 F

    Q979 F

    Q980 M

    Q981 M

    Q983 M

    Q984 M

    Q985 M

    Q986 M

    Q987 M

    Q988 M

    Q989 M

    R361 M

    R860 M

    R861 M

    R862 M

    R863 M

    R864 M

    R865 M

    R866 M

    R867 M

    R868 M

    R869 M

    R870 F

    R871 F

    R872 F

    R873 F

  • R874 F

    R875 F

    R87610 F

    R87611 F

    R87612 F

    R87613 F

    R87614 F

    R87615 F

    R87616 F

    R87618 F

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    R87621 F

    R87622 F

    R87623 F

    R87624 F

    R87625 F

    R87628 F

    R87629 F

    R8769 F

    R877 F

    R87810 F

    R87811 F

    R87820 F

    R87821 F

    R8789 F

    R879 F

    S30812A M

    S30201A M

    S30201D M

    S30201S M

    S30202A F

    S30202D F

    S30202S F

    S3021XA M

    S3021XD M

    S3021XS M

    S3022XA M

    S3022XD M

    S3022XS M

    S3023XA F

    S3023XD F

    S3023XS F

    S30812D M

    S30812S M

    S30813A M

    S30813D M

    S30813S M

    S30814A F

    S30814D F

    S30814S F

    S30815A M

  • S30815D M

    S30815S M

    S30816A F

    S30816D F

    S30816S F

    S30822A M

    S30822D M

    S30822S M

    S30823A M

    S30823D M

    S30823S M

    S30824A F

    S30824D F

    S30824S F

    S30825A M

    S30825D M

    S30825S M

    S30826A F

    S30826D F

    S30844S F

    S30826S F

    S30842A M

    S30842D M

    S30842S M

    S30843A M

    S30843D M

    S30843S M

    S30844A F

    S30844D F

    S30845A M

    S30845D M

    S30845S M

    S30846A F

    S30846D F

    S30846S F

    S30852A M

    S30852D M

    S30852S M

    S30853A M

    S30853D M

    S30853S M

    S30854A F

    S30854D F

    S30854S F

    S30855A M

    S30855D M

    S30855S M

    S30856A F

    S30856D F

    S30856S F

    S30862A M

    S30862D M

  • S30862S M

    S30863A M

    S30863D M

    S30863S M

    S30864A F

    S30864D F

    S30864S F

    S30865A M

    S30865D M

    S30865S M

    S30866A F

    S30866D F

    S30866S F

    S30872A M

    S30872D M

    S30872S M

    S30873A M

    S30873D M

    S30873S M

    S30874A F

    S30874D F

    S30874S F

    S3093XS M

    S30875A M

    S30875D M

    S30875S M

    S30876A F

    S30876D F

    S30876S F

    S3093XA M

    S3093XD M

    S3094XA M

    S3094XD M

    S3094XS M

    S3095XA F

    S3095XD F

    S3095XS F

    S3096XA M

    S3096XD M

    S3096XS M

    S3097XA F

    S3097XD F

    S3097XS F

    S3120XA M

    S3120XD M

    S3120XS M

    S3121XA M

    S3121XD M

    S3121XS M

    S3122XA M

    S3122XD M

    S3122XS M

  • S3123XA M

    S3123XD M

    S3123XS M

    S3124XA M

    S3124XD M

    S3124XS M

    S3125XA M

    S3125XD M

    S3125XS M

    S3130XA M

    S3130XD M

    S3130XS M

    S3131XA M

    S3131XD M

    S3131XS M

    S3132XA M

    S3132XD M

    S3132XS M

    S3133XA M

    S3133XD M

    S3133XS M

    S3134XA M

    S3144XA F

    S3134XD M

    S3134XS M

    S3135XA M

    S3135XD M

    S3135XS M

    S3140XA F

    S3140XD F

    S3140XS F

    S3141XA F

    S3141XD F

    S3141XS F

    S3142XA F

    S3142XD F

    S3142XS F

    S3143XA F

    S3143XD F

    S3143XS F

    S3144XD F

    S3144XS F

    S3145XA F

    S3145XD F

    S3145XS F

    S31501A M

    S31501D M

    S31501S M

    S31502A F

    S31502D F

    S31502S F

    S31511A M

  • S31511D M

    S31511S M

    S31512A F

    S31512D F

    S31512S F

    S31521A M

    S31521D M

    S31521S M

    S31522A F

    S31522D F

    S31522S F

    S31531A M

    S31531D M

    S31531S M

    S31532A F

    S31532D F

    S31532S F

    S31541A M

    S31541D M

    S31541S M

    S31542A F

    S31542D F

    S31542S F

    S31551A M

    S31551D M

    S31551S M

    S31552A F

    S31552D F

    S31552S F

    S35531A F

    S35531D F

    S35531S F

    S35532A F

    S35532D F

    S35532S F

    S35533A F

    S35533D F

    S35533S F

    S35534A F

    S35534D F

    S35534S F

    S35535A F

    S35535D F

    S35535S F

    S35536A F

    S35536D F

    S35536S F

    S358X1D F

    S358X1S F

    S358X8D F

    S358X8S F

    S37401A F

  • S37401D F

    S37401S F

    S37402A F

    S37402D F

    S37402S F

    S37409A F

    S37409D F

    S37409S F

    S37421A F

    S37421D F

    S37421S F

    S37422A F

    S37422D F

    S37422S F

    S37429A F

    S37429D F

    S37429S F

    S37431A F

    S37431D F

    S37431S F

    S37432A F

    S37432D F

    S37432S F

    S37439A F

    S37439D F

    S37439S F

    S37491A F

    S37491D F

    S37491S F

    S37492A F

    S37492D F

    S37492S F

    S37499A F

    S37499D F

    S37499S F

    S37501A F

    S37501D F

    S37501S F

    S37502A F

    S37502D F

    S37502S F

    S37509A F

    S37509D F

    S37509S F

    S37511A F

    S37511D F

    S37511S F

    S37512A F

    S37512D F

    S37512S F

    S37519A F

    S37519D F

  • S37519S F

    S37521A F

    S37521D F

    S37521S F

    S37522A F

    S37522D F

    S37522S F

    S37529A F

    S37529D F

    S37529S F

    S37531A F

    S37531D F

    S37531S F

    S37532A F

    S37532D F

    S37532S F

    S37539A F

    S37539D F

    S37539S F

    S37591A F

    S37591D F

    S37591S F

    S37592A F

    S37592D F

    S37592S F

    S37599A F

    S37599D F

    S37599S F

    S3760XA F

    S3760XD F

    S3760XS F

    S3762XA F

    S3762XD F

    S3762XS F

    S3763XA F

    S3763XD F

    S3763XS F

    S3769XA F

    S3769XD F

    S3769XS F

    S37822A M

    S37822D M

    S37822S M

    S37823A M

    S37823D M

    S37823S M

    S37828A M

    S37828D M

    S37828S M

    S37829A M

    S37829D M

    S37829S M

  • S3801XS M

    S38001A M

    S38001D M

    S38001S M

    S38002A F

    S38002D F

    S38002S F

    S3801XA M

    S3801XD M

    S3802XA M

    S3802XD M

    S3802XS M

    S3803XA F

    S3803XD F

    S3803XS F

    S38211A F

    S38211D F

    S38211S F

    S38212A F

    S38212D F

    S38212S F

    S38221A M

    S38221D M

    S38221S M

    S38222A M

    S38222D M

    S38222S M

    S38231A M

    S38231D M

    S38231S M

    S38232A M

    S38232D M

    S38232S M

    S39840A M

    S39840D M

    S39840S M

    T192XXA F

    T193XXA F

    T194XXA M

    T283XXA F

    T288XXA F

    T8331XA F

    T8331XD F

    T8331XS F

    T8332XA F

    T8332XD F

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    T8339XD F

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    T83410A M

    T83410D M

  • T83410S M

    T83418S M

    T83420A M

    T83420D M

    T83420S M

    T83490A M

    T83490D M

    T83490S M

    T83711A F

    T83711D F

    T83711S F

    T83721A F

    T83721D F

    T83721S F

    Z01411 F

    Z0142 F

    Z0371 F

    Z0372 F

    Z0379 F

    Z124 F

    Z125 M

    Z1271 M

    Z1272 F

    Z1273 F

    Z1502 F

    Z1503 M

    Z1504 F

    Z30011 F

    Z30012 F

    Z30013 F

    Z30014 F

    Z3041 F

    Z3042 F

    Z30430 F

    Z30431 F

    Z30432 F

    Z30433 F

    Z308 F

    Z31430 F

    Z31438 F

    Z31440 M

    Z31441 M

    Z31448 M

    Z3181 F

    Z3182 F

    Z3183 F

    Z3200 F

    Z3201 F

    Z3202 F

    Z331 F

    Z3400 F

    Z3401 F

  • Z3402 F

    Z3403 F

    Z3480 F

    Z3481 F

    Z3482 F

    Z3490 F

    Z3491 F

    Z3493 F

    Z370 F

    Z371 F

    Z372 F

    Z373 F

    Z3754 F

    Z390 F

    Z3A19 F

    Z4002 F

    Z412 M

    Z437 F

    Z4430 F

    Z4431 F

    Z4432 F

    Z45811 F

    Z45812 F

    Z45819 F

    Z52810 F

    Z52811 F

    Z52812 F

    Z52813 F

    Z52819 F

    Z780 F

    Z8043 M

    Z8540 F

    Z8541 F

    Z8542 F

    Z8543 F

    Z8544 F

    Z8545 M

    Z8546 M

    Z8547 M

    Z8548 M

    Z8549 M

    Z86001 F

    Z8632 F

    Z87410 F

    Z87411 F

    Z87412 F

    Z8742 F

    Z87430 M

    Z87438 M

    Z8751 F

    Z8759 F

    Z87710 M

  • Z90710 F

    Z90711 F

    Z90712 F

    Z90721 F

    Z90722 F

    Z975 F

    Z9851 F

    Z9852 M

    Z98870 F

    N35814 M

    O00102 F

    O00109 F

    O00111 F

    O00112 F

    O00119 F

    O00202 F

    O00209 F

    O00211 F

    O00212 F

    O00219 F

    O010 F

    O011 F

    O019 F

    O020 F

    O0281 F

    O029 F

    O032 F

    O0330 F

    O0331 F

    O0332 F

    O0334 F

    O0336 F

    O0337 F

    O0339 F

    O034 F

    O0487 F

    O0489 F

    O072 F

    O0731 F

    O0736 F

    O0738 F

    O082 F

    O083 F

    O084 F

    O085 F

    O0881 F

    O0882 F

    O0889 F

    O0940 F

    O09511 F

    O09512 F

    O09513 F

  • O09519 F

    O09521 F

    O09522 F

    O09523 F

    O09529 F

    O09611 F

    O09612 F

    O09613 F

    O09619 F

    O09621 F

    O09622 F

    O09623 F

    O09629 F

    O09812 F

    O09893 F

    O10012 F

    O10111 F

    O10312 F

    O10313 F

    O1032 F

    O1211 F

    O1213 F

    O1220 F

    O1221 F

    O1222 F

    O1223 F

    O131 F

    O132 F

    O1413 F

    O1420 F

    O1422 F

    O1490 F

    O1492 F

    O1493 F

    O159 F

    F530 F

    F531 F

    N35016 M

    N35116 M

    N35811 M

    N35812 M

    N35813 M

    N35816 M

    N35819 M

    N3582 F

    N35911 M

    N35912 M

    N35913 M

    N35914 M

    N35916 M

    N35919 M

    N3592 F

  • N99116 M

    O30131 F

    O30132 F

    O30133 F

    O30139 F

    O30231 F

    O30232 F

    O00101 F

    O00201 F

    O368310 F

    O368311 F

    O368312 F

    O368313 F

    Q53111 M

    Q53112 M

    Q5313 M

    Q53211 M

    Q53212 M

    Q5323 M

    R3983 M

    R3984 M

    Q5120 F

    Q5121 F

    Q5122 F

    Q5128 F

    R93811 M

    R93812 M

    R93813 M

    R93819 M

    Z1332 F

    O8600 F

    O8601 F

    O8602 F

    O8603 F

    O8604 F

    O8609 F

    O368399 F

    Z01419 F

    O161 F

    O162 F

    O163 F

    O169 F

    O200 F

    O208 F

    O209 F

    O2200 F

    O2211 F

    O2212 F

    O2213 F

    O2220 F

    O2221 F

    O2222 F

  • O2230 F

    O2231 F

    O2232 F

    O2233 F

    O2240 F

    O2241 F

    O228X2 F

    O228X3 F

    O2300 F

    O2301 F

    O2302 F

    O2303 F

    Z3A33 F

    Z3A34 F

    Z3A35 F

    Z3A36 F

    Z3A37 F

    Z3A38 F

    Z3A39 F

    Z3A40 F

    Z3A41 F

    O43103 F

    O43109 F

    O43123 F

    O43191 F

    O9823 F

    O98311 F

    O98313 F

    O98319 F

    O9833 F

    O91011 F

    O9102 F

    O9103 F

    O91111 F

    O91112 F

    O91113 F

    O9113 F

    O91213 F

    O9123 F

    O3661X1 F

    O98411 F

    O43193 F

    O43199 F

    O43211 F

    O135 F

    O43212 F

    O43213 F

    O43219 F

    O43221 F

    O43222 F

    O43223 F

    O43229 F

  • O43231 F

    O43232 F

    O43239 F

    O43811 F

    O43812 F

    O43813 F

    O4390 F

    O4391 F

    O4392 F

    O4393 F

    O45021 F

    O45022 F

    O45093 F

    O458X2 F

    O458X3 F

    O468X1 F

    O468X2 F

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    O4691 F

    O4692 F

    O4693 F

    O4702 F

    O471 F

    O479 F

    O480 F

    O481 F

    O6000 F

    O6002 F

    O6003 F

    O6010X0 F

    O6010X4 F

    O6012X1 F

    O6012X2 F

    O6012X4 F

    O6012X5 F

    O6013X1 F

    O6022X1 F

    O6022X2 F

    O6022X3 F

    O6022X4 F

    O6022X5 F

    O6023X1 F

    O6023X2 F

    O6023X3 F

    O6023X4 F

    O6023X5 F

    O610 F

    O611 F

    O618 F

    O619 F

  • O620 F

    O621 F

    O622 F

    O623 F

    O624 F

    O628 F

    O629 F

    O641XX5 F

    O641XX9 F

    O642XX0 F

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    O644XX4 F

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    O644XX9 F

    O645XX1 F

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    O645XX3 F

    O645XX4 F

    O645XX5 F

    O648XX0 F

    O649XX2 F

    O649XX3 F

    O649XX5 F

    O650 F

    O651 F

    O652 F

    O658 F

    O660 F

    O661 F

    O662 F

    O663 F

    O6640 F

    O665 F

    O666 F

    O668 F

    O690XX1 F

    O690XX2 F

    O690XX3 F

    O43192 F

    O2310 F

    O2311 F

  • O2312 F

    O2313 F

    O2320 F

    O2321 F

    O2322 F

    O2323 F

    O23511 F

    O23512 F

    O23513 F

    O23519 F

    O690XX4 F

    O690XX5 F

    O691XX2 F

    O92011 F

    O92012 F

    O92013 F

    O9202 F

    O9203 F

    O92111 F

    O9270 F

    O9279 F

    O98011 F

    O98012 F

    O98013 F

    O98019 F

    O9802 F

    O9803 F

    O98111 F

    O98112 F

    O98212 F

    O98213 F

    O98219 F

    O9822 F

    Z0373 F

    Z0374 F

    Z0375 F

    Z332 F

    Z3483 F

    Z3492 F

    Z36 F

    Z374 F

    Z3750 F

    Z3751 F

    Z3752 F

    Z3753 F

    Z3759 F

    Z3760 F

    Z3761 F

    Z3762 F

    Z3763 F

    Z3764 F

    Z3769 F

  • Z377 F

    Z379 F

    Z391 F

    Z392 F

    Z3A00 F

    Z3A01 F

    Z3A08 F

    Z3A09 F

    Z3A10 F

    Z3A11 F

    Z3A12 F

    Z3A13 F

    Z3A14 F

    Z3A15 F

    Z3A16 F

    Z3A17 F

    Z3A18 F

    Z3A20 F

    Z3A21 F

    Z3A22 F

    Z3A23 F

    Z3A24 F

    Z3A25 F

    Z3A26 F

    Z3A27 F

    Z3A28 F

    Z3A29 F

    Z3A30 F

    Z3A31 F

    O23521 F

    O23522 F

    O23523 F

    O23529 F

    O2391 F

    O24912 F

    O24913 F

    O2492 F

    O2493 F

    O2510 F

    O2511 F

    O2512 F

    O2513 F

    O252 F

    O253 F

    O2600 F

    O2601 F

    O2602 F

    O2603 F

    O2610 F

    O2611 F

    O2612 F

    O2613 F

  • O2621 F

    Z3A32 F

    Z3A42 F

    Z3A49 F

    O368233 F

    O368234 F

    O368235 F

    O368291 F

    O368295 F

    O2652 F

    O2653 F

    O26612 F

    O2663 F

    O26713 F

    O2672 F

    O2673 F

    O26811 F

    O26812 F

    O26813 F

    O26822 F

    O26823 F

    O26829 F

    O26831 F

    O26832 F

    O26833 F

    O26839 F

    O26841 F

    O26842 F

    O26843 F

    O26849 F

    O26851 F

    O26852 F

    O26879 F

    O26892 F

    O2691 F

    O2692 F

    O2693 F

    O280 F

    O283 F

    O288 F

    O2961 F

    O30012 F

    O30013 F

    O30022 F

    O30023 F

    O30029 F

    O30031 F

    O30032 F

    O30033 F

    O30041 F

    O30042 F

    O30043 F

  • O30092 F

    O30093 F

    O30109 F

    O30112 F

    O30191 F

    O30193 F

    O30199 F

    O30233 F

    O30239 F

    O30299 F

    O30812 F

    O30819 F

    O30831 F

    O30832 F

    O30833 F

    O30839 F

    O30891 F

    O30893 F

    O3091 F

    O3093 F

    O3100X0 F

    O3100X2 F

    O3100X3 F

    O3100X4 F

    O3100X5 F

    O3100X9 F

    O3101X0 F

    O3101X2 F

    O3101X3 F

    O3101X4 F

    O3101X5 F

    O3101X9 F

    O3102X0 F

    O3103X1 F

    O3103X2 F

    O3103X3 F

    O3103X4 F

    O3103X5 F

    O3103X9 F

    O3111X2 F

    O3111X9 F

    O3112X0 F

    O3112X2 F

    O3112X3 F

    O411015 F

    O411021 F

    O411022 F

    O411024 F

    O3112X9 F

    O3113X1 F

    O3113X2 F

    O3113X4 F

  • O3113X5 F

    O3120X1 F

    O3120X3 F

    O3120X4 F

    O3120X9 F

    O3121X0 F

    O3121X3 F

    O3121X5 F

    O3121X9 F

    O3122X1 F

    O3122X2 F

    O3122X5 F

    O3123X0 F

    O3123X1 F

    O3123X3 F

    O3123X9 F

    O3130X1 F

    O3130X2 F

    O3130X4 F

    O3130X5 F

    O3132X3 F

    O3132X5 F

    O3132X9 F

    O3133X2 F

    O3133X4 F

    O3133X5 F

    O318X10 F

    O318X13 F

    O318X15 F

    O318X22 F

    O318X24 F

    O318X25 F

    O318X95 F

    O320XX0 F

    O320XX2 F

    O320XX3 F

    O320XX4 F

    O320XX5 F

    O320XX9 F

    O321XX0 F

    O321XX9 F

    O322XX0 F

    O322XX1 F

    O322XX3 F

    O322XX4 F

    O322XX5 F

    O322XX9 F

    O323XX0 F

    O323XX1 F

    O323XX2 F

    O323XX3 F

    O323XX5 F

  • O326XX0 F

    O326XX1 F

    O326XX2 F

    O326XX3 F

    O326XX4 F

    O326XX5 F

    O326XX9 F

    O328XX0 F

    O328XX1 F

    O328XX2 F

    O328XX3 F

    O328XX4 F

    O328XX5 F

    O328XX9 F

    O329XX2 F

    O329XX3 F

    O329XX9 F

    O332 F

    O333XX1 F

    O333XX3 F

    O333XX4 F

    O333XX5 F

    O334XX0 F

    O334XX3 F

    O335XX0 F

    O335XX4 F

    O336XX0 F

    O336XX1 F

    O336XX4 F

    O3431 F

    O3432 F

    O3433 F

    O3441 F

    O34523 F

    O34533 F

    O34591 F

    O34592 F

    O3461 F

    O3462 F

    O3463 F

    O3470 F

    O3473 F

    O351XX4 F

    O352XX1 F

    O352XX4 F

    O352XX9 F

    O353XX0 F

    O353XX1 F

    O353XX3 F

    O353XX4 F

    O353XX5 F

    O353XX9 F

  • O354XX2 F

    O354XX5 F

    O355XX2 F

    O355XX3 F

    O355XX5 F

    O356XX2 F

    O358XX1 F

    O358XX5 F

    O359XX1 F

    O359XX2 F

    O359XX4 F

    O359XX5 F

    O360112 F

    O360115 F

    O360121 F

    O360122 F

    O360125 F

    O418X93 F

    O418X94 F

    O418X99 F

    O360132 F

    O360135 F

    O360192 F

    O360195 F

    O360994 F

    O360995 F

    O360999 F

    O361113 F

    O361119 F

    O361121 F

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    O361130 F

    O361133 F

    O3621X4 F

    O3621X5 F

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    O3623X2 F

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    O3623X4 F

    O3623X5 F

    O364XX2 F

    O364XX3 F

    O364XX4 F

    O364XX5 F

    O364XX9 F

    O365110 F

    O365112 F

    O365113 F

    O365119 F

    O365121 F

    O365122 F

    O365124 F

  • O365125 F

    O365130 F

    O365131 F

    O365134 F

    O365139 F

    O365190 F

    O365192 F

    O365193 F

    O365199 F

    O365911 F

    O365912 F

    O365914 F

    O365915 F

    O365921 F

    O365923 F

    O365924 F

    O365929 F

    O365930 F

    O365933 F

    O365935 F

    O365939 F

    O365991 F

    O365992 F

    O3670X3 F

    O3670X9 F

    O368120 F

    O368121 F

    O368122 F

    O368123 F

    O368124 F

    O368125 F

    O368129 F

    O368130 F

    O368131 F

    O368132 F

    O368133 F

    O368134 F

    O368135 F

    O368139 F

    O368190 F

    O368191 F

    O368192 F

    O368193 F

    O368194 F

    O368195 F

    O368199 F

    O368211 F

    O368212 F

    O368213 F

    O368214 F

    O368215 F

    O368221 F

  • O368222 F

    O368223 F

    O368224 F

    O368225 F

    O368229 F

    O368231 F

    O368232 F

    O3683 F

    O36831 F

    O368314 F

    O368315 F

    O368319 F

    O36832 F

    O368320 F

    O368321 F

    O368322 F

    O368323 F

    O368324 F

    O368325 F

    O368329 F

    O36833 F

    O368330 F

    O368331 F

    O368332 F

    O368333 F

    O368334 F

    O368335 F

    O368339 F

    O36839 F

    O368390 F

    O368391 F

    O368392 F

    O368393 F

    O368394 F

    O368395 F

    O368910 F

    O368911 F

    O368915 F

    O3690X4 F

    O3690X5 F

    O3693X2 F

    O401XX1 F

    O403XX3 F

    O403XX4 F

    O403XX5 F

    O403XX9 F

    O409XX0 F

    O409XX2 F

    O409XX3 F

    O409XX4 F

    O409XX5 F

    O409XX9 F

  • O4100X0 F

    O4100X2 F

    O4100X3 F

    O4100X4 F

    O4100X5 F

    O4100X9 F

    O4101X9 F

    O6013X2 F

    O6014X4 F

    O6014X9 F

    O6020X3 F

    Z30015 F

    Z30016 F

    Z30017 F

    Z3044 F

    Z3045 F

    Z3046 F

    Z317 F

    Z333 F

    O1202 F

    O4102X0 F

    O4102X2 F

    O4102X3 F

    O4102X4 F

    O4102X5 F

    O4102X9 F

    O4103X0 F

    O4103X2 F

    O4103X3 F

    O4103X4 F

    O4103X5 F

    O4103X9 F

    O411012 F

    O411014 F

    O411031 F

    O411034 F

    O411039 F

    O411091 F

    O411092 F

    O411095 F

    O411221 F

    O411222 F

    O411223 F

    O411224 F

    O411225 F

    O411229 F

    O411230 F

    O411232 F

    O411233 F

    O411234 F

    O411235 F

    O411239 F

  • O411291 F

    O411292 F

    O411293 F

    O411294 F

    O411295 F

    O411299 F

    O411410 F

    O411412 F

    O411413 F

    O411414 F

    O411415 F

    O411419 F

    O411420 F

    O411421 F

    O411422 F

    O411423 F

    O411424 F

    O411425 F

    O411429 F

    O411430 F

    O411432 F

    O411434 F

    O411435 F

    O411439 F

    O411490 F

    O411492 F

    O411493 F

    O411494 F

    O411495 F

    O411499 F

    O418X10 F

    O418X11 F

    O418X13 F

    O418X14 F

    O418X19 F

    O418X20 F

    O418X22 F

    O418X23 F

    O418X29 F

    O418X31 F

    O418X32 F

    O418X34 F

    O418X35 F

    O418X91 F

    O4190X1 F

    O4190X2 F

    O4190X4 F

    O4190X5 F

    O4191X1 F

    O4191X3 F

    O4191X5 F

    O4192X2 F

  • O4192X3 F

    O4192X5 F

    O4193X2 F

    O4193X4 F

    O42119 F

    O42911 F

    O42913 F

    O43011 F

    O43013 F

    O43019 F

    O43102 F

    O98113 F

    O98119 F

    O9812 F

    O9813 F

    O98211 F

    O98413 F

    O98419 F

    O9842 F

    O9843 F

    O98511 F

    O98519 F

    O9853 F

    O98611 F

    O98612 F

    O98613 F

    O98619 F

    O9863 F

    O98713 F

    O99111 F

    O99113 F

    O9912 F

    O99210 F

    O99211 F

    O99212 F

    O139 F

    O1400 F

    O1402 F

    O1403 F

    O1410 F

    O1412 F

    O210 F

    O211 F

    O212 F

    O218 F

    O219 F

    N9985 F

    N50811 M

    N50812 M

    N50819 M

    N5082 M

    N5089 M

  • N5235 M

    N5236 M

    N5237 M

    N8300 F

    N8301 F

    N8302 F

    N8310 F

    N8311 F

    N8312 F

    N83201 F

    N83202 F

    N83209 F

    N83291 F

    N83292 F

    N83299 F

    N83311 F

    N83312 F

    N83319 F

    N83321 F

    N83322 F

    N83329 F

    N83331 F

    N83332 F

    N83339 F

    N8340 F

    N8341 F

    N8342 F

    O99215 F

    O99280 F

    O99310 F

    O99311 F

    O99312 F

    O99313 F

    O99213 F

    O99214 F

    O99314 F

    O99315 F

    O99320 F

    O99321 F

    O99322 F

    O99323 F

    O99324 F

    O99325 F

    O24313 F

    O2432 F

    O2433 F

    O24410 F

    O24420 F

    O26853 F

    O26859 F

    O2686 F

    O26872 F

  • O26873 F

    N83511 F

    N83512 F

    N83519 F

    N83521 F

    N83522 F

    N83529 F

    N9060 F

    N9061 F

    N9069 F

    N931 F

    N9410 F

    N9411 F

    N9412 F

    N99115 M

    O0000 F

    O0001 F

    O0010 F

    O0011 F

    O0020 F

    O0021 F

    O0080 F

    O0081 F

    O0090 F

    O0091 F

    O09A0 F

    O09A1 F

    O09A2 F

    O09A3 F

    O114 F

    O115 F

    O1204 F

    O1205 F

    O1214 F

    O1215 F

    O1224 F

    O1225 F

    O134 F

    O1404 F

    O1405 F

    O1414 F

    O1415 F

    O1424 F

    O1425 F

    O1494 F

    O1495 F

    O164 F

    O165 F

    O24415 F

    O24425 F

    O24435 F

    O337XX0 F

  • O337XX1 F

    O337XX2 F

    O337XX3 F

    O337XX4 F

    O337XX5 F

    O337XX9 F

    O34211 F

    O34212 F

    O34219 F

    O4420 F

    O4421 F

    O4422 F

    O4423 F

    O4430 F

    O4431 F

    O4432 F

    O4433 F

    O4440 F

    O4441 F

    O4442 F

    O4443 F

    O4450 F

    O4451 F

    O4452 F

    O4453 F

    O7020 F

    O7021 F

    O7022 F

    O99331 F

    O99332 F

    O99333 F

    O99334 F

    O99335 F

    O99355 F

    O9952 F

    O9962 F

    O9963 F

    O9973 F

    O99814 F

    O99815 F

    O99830 F

    O99844 F

    O99845 F

    O9A111 F

    O9A112 F

    O9A113 F

    O3110X0 F

    O3110X2 F

    O3110X3 F

    O3110X5 F

    O3110X9 F

    O321XX2 F

  • O321XX3 F

    O321XX4 F

    O321XX5 F

    O7023 F

    Q52120 F

    Q52121 F

    Q52122 F

    Q52123 F

    Q52124 F

    Q52129 F

    R9720 M

    R9721 M

    O9A12 F

    O9A13 F

    O9A212 F

    O9A219 F

    O9A22 F

    O9A311 F

    O9A312 F

    O9A313 F

    O9A319 F

    O9A32 F

    O9A33 F

    O9A411 F

    O9A412 F

    O9A413 F

    O9A419 F

    O9A42 F

    O9A43 F

    O9A511 F

    O9A512 F

    O9A513 F

    O9A52 F

    O9A53 F

    O318X31 F

    O318X32 F

    O318X34 F

    O318X35 F

    O318X91 F

    O43819 F

    O43891 F

    O43892 F

    O43893 F

    O43899 F

    O34512 F

    O34521 F

    O34522 F

    O693XX3 F

    O693XX4 F

    O693XX5 F

    O693XX9 F

    O694XX1 F

  • O630 F

    O631 F

    O632 F

    O639 F

    O641XX0 F

    O641XX1 F

    O641XX2 F

    O641XX4 F

    O691XX3 F

    O691XX5 F

    O693XX2 F

    O7589 F

    O759 F

    O82 F

    O85 F

    O860 F

    O8611 F

    O8612 F

    O8613 F

    O8619 F

    O8620 F

    O8621 F

    O8622 F

    O8629 F

    O864 F

    O8681 F

    O8689 F

    O870 F

    O871 F

    O872 F

    O873 F

    O874 F

    O878 F

    O879 F

    O88011 F

    O88012 F

    O88013 F

    O88019 F

    O8803 F

    O88111 F

    O88112 F

    O88113 F

    O88119 F

    O8812 F

    O8813 F

    O88211 F

    O88212 F

    O88213 F

    O88219 F

    O8833 F

    O88811 F

    O88812 F

  • O88813 F

    O88819 F

    O8882 F

    O8883 F

    O891 F

    O893 F

    O896 F

    O899 F

    O900 F

    O901 F

    O903 F

    O904 F

    O905 F

    O906 F

    O9081 F

    O9089 F

    O909 F

    O3671X2 F

    O3671X3 F

    O3672X0 F

    O3672X2 F

    O3672X3 F

    O3673X1 F

    O3673X2 F

    O3680X9 F

    O401XX2 F

    O402XX2 F

    O402XX3 F

    O402XX4 F

    O402XX9 F

    O403XX0 F

    O403XX2 F

    O4101X1 F

    O4101X2 F

    O4101X3 F

    O4101X4 F

    O4101X5 F

    O694XX2 F

    O694XX3 F

    O694XX4 F

    O694XX5 F

    O694XX9 F

    O695XX4 F

    O6981X2 F

    O6981X4 F

    O6981X9 F

    O6982X1 F

    O6982X3 F

    O6982X5 F

    O6989X1 F

    O700 F

    O701 F

  • O702 F

    O703 F

    O709 F

    O7102 F

    O7103 F

    O711 F

    O712 F

    O713 F

    O714 F

    O715 F

    O716 F

    O717 F

    O7181 F

    O7182 F

    O7189 F

    O719 F

    O720 F

    O721 F

    O722 F

    O723 F

    O730 F

    O744 F

    O747 F

    O748 F

    O750 F

    O751 F

    O752 F

    O754 F

    O7581 F

    bschwarcFile Attachment04052020 AZ ICD10 to Gender Policy List.pdf

  • PROCEDURE GENDER

    0003T F

    0009T F

    0021T F

    0031T F

    00402 F

    0046T F

    0047T F

    00855 F

    00857 F

    00865 M

    00869 M

    00842 F

    00846 F

    00850 F

    00851 F

    00946 F

    00948 F

    00950 F

    00952 F

    00955 F

    00906 F

    00908 M

    00914 M

    00920 M

    00921 M

    00922 M

    00924 M

    00926 M

    00928 M

    00930 M

    00932 M

    00934 M

    00936 M

    00938 M

    00940 F

    00942 F

    00944 F

    0102U F

    01900 F

    01967 F

    01968 F

    01969 F

    Arizona Medicaid Procedure

    to Gender Policy List

  • 0193T F

    01958 F

    01960 F

    01961 F

    01962 F

    01963 F

    01964 F

    01965 F

    01966 F

    0336T F

    0421T M

    0443T M

    0478T F

    0567T F

    0568T F

    0582T M

    0500F F

    0501F F

    0503F F

    0404T F

    11975 F

    11976 F

    11977 F

    19324 F

    19325 F

    19110 F

    19112 F

    19357 F

    19361 F

    19140 M

    19364 F

    19366 F

    19367 F

    19368 F

    19369 F

    19300 M

    19396 F

    3015F F

    3294F F

    3323F F

    36460 F

    37788 M

    37790 M

    46744 F

    46746 F

    46748 F

    49510 M

  • 49515 M

    51900 F

    51920 F

    51925 F

    51990 F

    51992 F

    52010 M

    50722 F

    51845 F

    54692 M

    54699 M

    54700 M

    54800 M

    53449 M

    54304 M

    54305 M

    54308 M

    54312 M

    54316 M

    54820 M

    54830 M

    54840 M

    54860 M

    54861 M

    53500 F

    53502 F

    53505 M

    54318 M

    54320 M

    54322 M

    54324 M

    54865 M

    54900 M

    54901 M

    55000 M

    53515 M

    53520 M

    53600 M

    53601 M

    53605 M

    54325 M

    54326 M

    54328 M

    54330 M

    54332 M

    55040 M

    55041 M

  • 55060 M

    55100 M

    52441 M

    52442 M

    52450 M

    53620 M

    53621 M

    53640 M

    53660 F

    54336 M

    54340 M

    54344 M

    54348 M

    55110 M

    55120 M

    55150 M

    55170 M

    55175 M

    52510 M

    52601 M

    52606 M

    53661 F

    53665 F

    54352 M

    54360 M

    54380 M

    54385 M

    55180 M

    55200 M

    55250 M

    55300 M

    52612 M

    52614 M

    52620 M

    52630 M

    53850 M

    53852 M

    53853 M

    53854 M

    53855 M

    54390 M

    54400 M

    54401 M

    54402 M

    54405 M

    55400 M

    55401 M

  • 55450 M

    55500 M

    52640 M

    52647 M

    52648 M

    52649 M

    52650 M

    53860 F

    54000 M

    54001 M

    54406 M

    54407 M

    54408 M

    54409 M

    52700 M

    54015 M

    54050 M

    54055 M

    54056 M

    54410 M

    54411 M

    54415 M

    54416 M

    54417 M

    54057 M

    54060 M

    54065 M

    54100 M

    54105 M

    54420 M

    54430 M

    54435 M

    54437 M

    54438 M

    54440 M

    52270 F

    52275 M

    53060 F

    54110 M

    54111 M

    54112 M

    54115 M

    54450 M

    54500 M

    54505 M

    54506 M

    53210 F

  • 53215 M

    53230 F

    54120 M

    54125 M

    54130 M

    54135 M

    54150 M

    54510 M

    54512 M

    54520 M

    54521 M

    52285 F

    53235 M

    53250 M

    54152 M

    54160 M

    54161 M

    54522 M

    54530 M

    54535 M

    54550 M

    54555 M

    53270 F

    54162 M

    54163 M

    54164 M

    54200 M

    54560 M

    54565 M

    54600 M

    54620 M

    53410 M

    53415 M

    53420 M

    53425 M

    54205 M

    54220 M

    54230 M

    54231 M

    54640 M

    54641 M

    54645 M

    54650 M

    54660 M

    53430 F

    53440 M

    53442 M

  • 54235 M

    54240 M

    54250 M

    54300 M

    54661 M

    54670 M

    54680 M

    54690 M

    53444 M

    58275 F

    58280 F

    58285 F

    58290 F

    58291 F

    56301 F

    56302 F

    56303 F

    56635 F

    56636 F

    56637 F

    56640 F

    57305 F

    57307 F

    57308 F

    57310 F

    58292 F

    58293 F

    58294 F

    58300 F

    56307 F

    56308 F

    56641 F

    56680 F

    56685 F

    56700 F

    57311 F

    57320 F

    57330 F

    57335 F

    58301 F

    58310 F

    58311 F

    58320 F

    56309 F

    56710 F

    56720 F

    56740 F

  • 56800 F

    56805 F

    57400 F

    57410 F

    57415 F

    57420 F

    57421 F

    58321 F

    58322 F

    58323 F

    58340 F

    56810 F

    56820 F

    56821 F

    57000 F

    57423 F

    57425 F

    57426 F

    57450 F

    58345 F

    58346 F

    58350 F

    58353 F

    56318 M

    56320 M

    57010 F

    57020 F

    57022 F

    57023 F

    57451 F

    57452 F

    57454 F

    57455 F

    57050 F

    57057 F

    57060 F

    57061 F

    57063 F

    57456 F

    57460 F

    57461 F

    57500 F

    55520 M

    55530 M

    55535 M

    55540 M

    56343 F

  • 56344 F

    57065 F

    57100 F

    57105 F

    57106 F

    57505 F

    57510 F

    57511 F

    57513 F

    55550 M

    55559 M

    55600 M

    55601 M

    55605 M

    56351 F

    57107 F

    57108 F

    57109 F

    57110 F

    57520 F

    57522 F

    57530 F

    57531 F

    55650 M

    55651 M

    55680 M

    55700 M

    56352 F

    56353 F

    56354 F

    56355 F

    56356 F

    57111 F

    57112 F

    57120 F

    57130 F

    57135 F

    57540 F

    57545 F

    57550 F

    57555 F

    57556 F

    55705 M

    55720 M

    55725 M

    57150 F

    57155 F

  • 57156 F

    57160 F

    57558 F

    57700 F

    55740 M

    55801 M

    55810 M

    55812 M

    55815 M

    56400 F

    56405 F

    56420 F

    57170 F

    57180 F

    57200 F

    57210 F

    57720 F

    57800 F

    57820 F

    58100 F

    55821 M

    55831 M

    55840 M

    55842 M

    56440 F

    56441 F

    56442 F

    57220 F

    57230 F

    57240 F

    57250 F

    58101 F

    58102 F

    58103 F

    55845 M

    55859 M

    55860 M

    55862 M

    55865 M

    56501 F

    57260 F

    57265 F

    57267 F

    57268 F

    57270 F

    58120 F

    58140 F

  • 58145 F

    58146 F

    55866 M

    55870 M

    55873 M

    55874 M

    55875 M

    56515 F

    56600 F

    57280 F

    57282 F

    57283 F

    57284 F

    58150 F

    58152 F

    58180 F

    58200 F

    55876 M

    55899 M

    55970 M

    56605 F

    56606 F

    56620 F

    56625 F

    57285 F

    57287 F

    57288 F

    57289 F

    58210 F

    58240 F

    58260 F

    58262 F

    55980 F

    56000 F

    56100 F

    56200 F

    56630 F

    56631 F

    56632 F

    56633 F

    56634 F

    57291 F

    57292 F

    57296 F

    57300 F

    58263 F

    58265 F

  • 58267 F

    58270 F

    58673 F

    58674 F

    58679 F

    58700 F

    58720 F

    59120 F

    59121 F

    59840 F

    59841 F

    59850 F

    59851 F

    59852 F

    58740 F

    58750 F

    58752 F

    58760 F

    59130 F

    59135 F

    59136 F

    59140 F

    59150 F

    59855 F

    59856 F

    59857 F

    59866 F

    58770 F

    58800 F

    58805 F

    58820 F

    58822 F

    59870 F

    59871 F

    59897 F

    59898 F

    58823 F

    58825 F

    58900 F

    58920 F

    59151 F

    59160 F

    59200 F

    59300 F

    59899 F

    58925 F

    58940 F

  • 58943 F

    59305 F

    59320 F

    59325 F

    59350 F

    58950 F

    58951 F

    58952 F

    58953 F

    59351 F

    59400 F

    59409 F

    59410 F

    58954 F

    58956 F

    58957 F

    58958 F

    59412 F

    59414 F

    59420 F

    58540 F

    58541 F

    58542 F

    58543 F

    58960 F

    58970 F

    58972 F

    58974 F

    59425 F

    59426 F

    59430 F

    59500 F

    58544 F

    58545 F

    58546 F

    58548 F

    58550 F

    58976 F

    58982 F

    58983 F

    58984 F

    59501 F

    59510 F

    59514 F

    58551 F

    58552 F

    58553 F

  • 58554 F

    58985 F

    58986 F

    58987 F

    58988 F

    59515 F

    59520 F

    59521 F

    59525 F

    58555 F

    58558 F

    58559 F

    58560 F

    58990 F

    58992 F

    58994 F

    58995 F

    59560 F

    59561 F

    58561 F

    58562 F

    58563 F

    58996 F

    58999 F

    59000 F

    59001 F

    59010 F

    59580 F

    59581 F

    59610 F

    59612 F

    58570 F

    58571 F

    58572 F

    59011 F

    59012 F

    59015 F

    59020 F

    59614 F

    59618 F

    59620 F

    59622 F

    58575 F

    58578 F

    58579 F

    58600 F

    58605 F

  • 58611 F

    59025 F

    59030 F

    59050 F

    59800 F

    59801 F

    59810 F

    59811 F

    59812 F

    58615 F

    58660 F

    58661 F

    59051 F

    59070 F

    59072 F

    59074 F

    59820 F

    59821 F

    59830 F

    58662 F

    58670 F

    58671 F

    58672 F

    59076 F

    59100 F

    59101 F

    59105 F

    59106 F

    58400 F

    58410 F

    58520 F

    74440 M

    74445 M

    74446 M

    74710 F

    74712 F

    74713 F

    74725 F

    74740 F

    74741 F

    74742 F

    77052 F

    77057 F

    76801 F

    76802 F

    76805 F

    76810 F

  • 76811 F

    76812 F

    76813 F

    76814 F

    76815 F

    76816 F

    76817 F

    76818 F

    76083 F

    76085 F

    76086 F

    76088 F

    76819 F

    76820 F

    76821 F

    76825 F

    76826 F

    76827 F

    76092 F

    76828 F

    76830 F

    76831 F

    76870 M

    76873 M

    76941 F

    76945 F

    76946 F

    76947 F

    76948 F

    80055 F

    80057 M

    78760 M

    78761 M

    81266 F

    80426 F

    81500 F

    81503 F

    81508 F

    81509 F

    81511 F

    81512 F

    81542 M

    80080 M

    81025 F

    80414 M

    80415 F

    80068 F

  • 82106 F

    82120 F

    82143 F

    82731 F

    82757 M

    82677 F

    83661 F

    83662 F

    83663 F

    83664 F

    83950 F

    84065 M

    84066 M

    84830 F

    84135 F

    84136 F

    84138 F

    84139 F

    84152 M

    84153 M

    84154 M

    84163 F

    85461 F

    86305 F

    86336 F

    89310 M

    89320 M

    89321 M

    88165 F

    88166 F

    88167 F

    89322 M

    89325 M

    89329 M

    89331 M

    89335 M

    89337 F

    89342 F

    89343 M

    89346 F

    89352 F

    89353 F

    88235 F

    88141 F

    88142 F

    88143 F

    88144 F

  • 88145 F

    88147 F

    88148 F

    88150 F

    88151 F

    88152 F

    88153 F

    88269 F

    88154 F

    88155 F

    88156 F

    89264 M

    89268 F

    88157 F

    89272 F

    89281 F

    88164 F

    89290 F

    89291 F

    89300 M

    90384 F

    90385 F

    90386 F

    89356 F

    93980 M

    93981 M

    98912 F

    99500 F

    99501 F

    99553 F

    A4326 M

    A4327 F

    A4328 F

    A4470 F

    A4480 F

    A4348 M

    A4561 F

    A4562 F

    A4563 F

    A4260 F

    A4261 F

    A4264 F

    A4266 F

    A4267 M

    A4268 F

    A4269 F

    A4280 F

  • A4281 F

    A4282 F

    A4283 F

    A4284 F

    A4285 F

    A4286 F

    A9507 M

    C2622 M

    C1789 F

    C1813 M

    C9736 F

    C9739 M

    C9740 M

    C9747 M

    C9748 M

    C9713 M

    C9714 F

    C9273 M

    C9276 M

    C9715 F

    E0325 M

    E0326 F

    C9023 M

    C9055 F

    E0602 F

    E0603 F

    E0604 F

    G0027 M

    G0123 F

    G0124 F

    G0141 F

    G0143 F

    G0144 F

    G0145 F

    G0147 F

    G0148 F

    G0101 F

    G0102 M

    G0103 M

    G0416 M

    G0417 M

    G0418 M

    G0419 M

    G0236 F

    G0256 M

    G0261 M

    G0458 M

  • G0202 F

    G8051 F

    G8052 F

    G8053 F

    G8107 F

    G8111 F

    G8112 F

    G8113 F

    G8114 F

    G8116 F

    G8117 F

    G8802 F

    G8803 F

    G8805 F

    G8806 F

    G8807 F

    G8808 F

    G8809 F

    G8810 F

    G8811 F

    G8822 M

    G8823 F

    G8824 F

    G8827 F

    G8828 M

    G8829 M

    G8830 M

    G8831 F

    G8832 F

    H1000 F

    H1001 F

    H1002 F

    H1003 F

    H1004 F

    H1005 F

    J0128 M

    G9113 F

    G9114 F

    G9115 F

    G9116 F

    G9117 F

    J0270 M

    J0275 M

    G9126 F

    G9071 F

    G9072 F

    G9074 F

  • G9075 F

    G9076 F

    G9077 M

    G9078 M

    G9079 M

    G9081 M

    G9082 M

    G9083 M

    G9361 F

    J1056 F

    J7296 F

    J7297 F

    J7298 F

    J7300 F

    J1640 F

    J7301 F

    J7302 F

    J7303 F

    J7306 F

    J7307 F

    J2788 F

    J1725 F

    J1726 F

    J1729 F

    K0410 M

    K0411 M

    J9175 M

    L3215 F

    L3216 F

    L3217 F

    L3219 M

    L3221 M

    L3222 M

    L3224 F

    L3225 M

    L8330 M

    L8600 F

    M1016 F

    L7900 M

    L7902 M

    L8000 F

    L8001 F

    L8002 F

    L8010 F

    L8015 F

    L8020 F

    L8030 F

  • L8035 F

    Q0090 F

    Q0091 F

    Q0111 F

    Q0114 F

    Q0115 F

    P3000 F

    P3001 F

    Q0187 M

    Q9984 F

    Q9985 F

    Q9986 F

    S4005 F

    S4011 F

    S4013 F

    S4014 F

    S4015 F

    S2260 F

    S2262 F

    S2265 F

    S2266 F

    S2267 F

    S4016 F

    S4017 F

    S4018 F

    S4020 F

    S4021 F

    S4022 F

    S0610 F

    S0612 F

    S2270 F

    S4023 F

    S4027 F

    S4028 M

    S4030 M

    S4031 M

    S4035 F

    S4036 F

    S2400 F

    S2401 F

    S2402 F

    S4981 F

    S4989 F

    S4993 F

    S2403 F

    S2404 F

    S2405 F

  • S2409 F

    S2411 F

    S0180 F

    S0190 F

    S0191 F

    S2066 F

    S2067 F

    S2068 F

    S3626 F

    S3628 F

    S0199 F

    S2078 F

    S3650 F

    S3652 F

    S3655 F

    S3721 M

    S3820 F

    S3822 F

    S3823 F

    S2250 F

    S9442 F

    S9443 F

    S8055 F

    S9208 F

    S9209 F

    S9211 F

    S9212 F

    S9213 F

    S9214 F

    S8415 F

    S9349 F

    T4545 M

    0032T F

    bschwarcFile Attachment04052020 AZ Medicaid Procedure to Gender Policy List.pdf

  • REIMBURSEMENT POLICY

    CMS-1500 Policy Number 2020R7121B

    Proprietary information of UnitedHealthcare Community Plan. Copyright 2020 United HealthCare Services, Inc. 2020R7121B

    Kansas Medicaid ICD-10 to Gender Policy List

    ICD-10 codes with designated appropriate gender for Kansas Medicaid.

    Missouri Medicaid ICD-10 to Gender Policy List

    ICD-10 codes with designated inappropriate gender for Missouri Medicaid.

    Missouri Medicaid Procedure to Gender Policy List

    CPT codes with designated inappropriate gender for Missouri Medicaid

    Resources

    Individual state Medicaid regulations, manuals & fee schedules

    American Medical Association, Current Procedural Terminology ( CPT® ) Professional Edition and associated publications and services

    Centers for Medicare and Medicaid Services, CMS Manual System and other CMS publications and services

    Centers for Medicare and Medicaid Services, Healthcare Common Procedure Coding System, HCPCS Release and Code Sets

    History

    4/5/2020 AZ CPT and DX lists updated History Section: Entries prior to 4/5/2018 archived

    2/24/2020 Missouri Medicaid CPT Gender List updated

    12/6/2019 Annual Approval Date Change (No new version)

    9/29/2019 Title Section: Updated to Gender to Diagnosis Code & Procedure Code Policy Application Section: Updated to include Kansas Attachments Section: Kansas Medicaid ICD-10 to Gender List added

    8/6/2019 Arizona Medicaid ICD-10 to Gender List updated

    1/13/2019 Arizona Medicaid CPT Gender List updated

    5/19/2008 Age & Gender to Diagnosis & Procedure Codes Policy implementation by UnitedHealthcare Community Plan

  • Kansas Medicaid ICD10 to Gender Policy List

    Diagnosis Code Allowed Gender

    A18.14 M

    A18.15 M

    A18.16 F

    A18.17 F

    A18.18 F

    A34 F

    A51.42 F

    A54.02 F

    A54.03 F

    A54.22 M

    A54.23 M

    A54.24 F

    A56.02 F

    A56.11 F

    A59.01 F

    A59.02 M

    A60.01 M

    A60.02 M

    A60.03 F

    A60.04 F

    B26.0 M

    B37.3 F

    B38.81 M

    C50.011 F

    C50.012 F

    C50.019 F

    C50.021 M

    C50.022 M

    C50.029 M

    C50.111 F

    C50.112 F

    C50.119 F

    C50.121 M

    C50.122 M

    C50.129 M

    C50.211 F

    C50.212 F

    C50.219 F

    C50.221 M

    C50.222 M

    C50.229 M

    C50.311 F

    C50.312 F

    C50.319 F

    C50.321 M

    C50.322 M

    C50.329 M

    C50.411 F

    C50.412 F

    C50.419 F

  • C50.421 M

    C50.422 M

    C50.429 M

    C50.511 F

    C50.512 F

    C50.519 F

    C50.521 M

    C50.522 M

    C50.529 M

    C50.611 F

    C50.612 F

    C50.619 F

    C50.621 M

    C50.622 M

    C50.629 M

    C50.811 F

    C50.812 F

    C50.819 F

    C50.821 M

    C50.822 M

    C50.829 M

    C50.911 F

    C50.912 F

    C50.919 F

    C50.921 M

    C50.922 M

    C50.929 M

    C51.0 F

    C51.1 F

    C51.2 F

    C51.8 F

    C51.9 F

    C52 F

    C53.0 F

    C53.1 F

    C53.8 F

    C53.9 F

    C54.0 F

    C54.1 F

    C54.2 F

    C54.3 F

    C54.8 F

    C54.9 F

    C55 F

    C56.1 F

    C56.2 F

    C56.9 F

    C57.00 F

    C57.01 F

    C57.02 F

    C57.10 F

    C57.11 F

  • C57.12 F

    C57.20 F

    C57.21 F

    C57.22 F

    C57.3 F

    C57.4 F

    C57.7 F

    C57.8 F

    C57.9 F

    C58 F

    C60.0 M

    C60.1 M

    C60.2 M

    C60.8 M

    C60.9 M

    C61 M

    C62.00 M

    C62.01 M

    C62.02 M

    C62.10 M

    C62.11 M

    C62.12 M

    C62.90 M

    C62.91 M

    C62.92 M

    C63.00 M

    C63.01 M

    C63.02 M

    C63.10 M

    C63.11 M

    C63.12 M

    C63.2 M

    C63.7 M

    C63.8 M

    C63.9 M

    C79.60 F

    C79.61 F

    C79.62 F

    D06.0 F

    D06.1 F

    D06.7 F

    D06.9 F

    D07.0 F

    D07.1 F

    D07.2 F

    D07.30 F

    D07.39 F

    D07.4 M

    D07.5 M

    D07.60 M

    D07.61 M

    D07.69 M

  • D17.6 M

    D25.0 F

    D25.1 F

    D25.2 F

    D25.9 F

    D26.0 F

    D26.1 F

    D26.7 F

    D26.9 F

    D27.0 F

    D27.1 F

    D27.9 F

    D28.0 F

    D28.1 F

    D28.2 F

    D28.7 F

    D28.9 F

    D29.0 M

    D29.1 M

    D29.20 M

    D29.21 M

    D29.22 M

    D29.30 M

    D29.31 M

    D29.32 M

    D29.4 M

    D29.8 M

    D29.9 M

    D39.0 F

    D39.10 F

    D39.11 F

    D39.12 F

    D39.2 F

    D39.8 F

    D39.9 F

    D40.0 M

    D40.10 M

    D40.11 M

    D40.12 M

    D40.8 M

    D40.9 M

    E28.0 F

    E28.1 F

    E28.2 F

    E28.310 F

    E28.319 F

    E28.39 F

    E28.8 F

    E28.9 F

    E29.0 M

    E29.1 M

    E29.8 M

  • E29.9 M

    E89.40 F

    E89.41 F

    E89.5 M

    F32.81 F

    F52.21 M

    F52.22 F

    F52.31 F

    F52.32 M

    F52.4 M

    F52.5 F

    F52.6 F

    F53.0 F

    F53.1 F

    G43.821 F

    G43.829 F

    G43.831 F

    G43.839 F

    I86.1 M

    I86.3 F

    J84.81 F

    L29.1 M

    L29.2 F

    M83.0 F

    N35.010 M

    N35.014 M

    N35.016 M

    N35.021 F

    N35.028 F

    N35.111 M

    N35.116 M

    N35.119 M

    N35.12 F

    N35.811 M

    N35.812 M

    N35.813 M

    N35.814 M

    N35.816 M

    N35.819 M

    N35.82 F

    N35.911 M

    N35.912 M

    N35.913 M

    N35.914 M

    N35.916 M

    N35.919 M

    N35.92 F

    N40.0 M

    N40.1 M

    N40.2 M

    N40.3 M

    N41.0 M

  • N41.1 M

    N41.2 M

    N41.3 M

    N41.4 M

    N41.8 M

    N41.9 M

    N42.0 M

    N42.1 M

    N42.30 M

    N42.31 M

    N42.32 M

    N42.39 M

    N42.81 M

    N42.82 M

    N42.83 M

    N42.89 M

    N42.9 M

    N43.0 M

    N43.1 M

    N43.2 M

    N43.3 M

    N43.40 M

    N43.41 M

    N43.42 M

    N44.00 M

    N44.01 M

    N44.02 M

    N44.03 M

    N44.04 M

    N44.1 M

    N44.2 M

    N44.8 M

    N45.1 M

    N45.2 M

    N45.3 M

    N45.4 M

    N46.01 M

    N46.021 M

    N46.022 M

    N46.023 M

    N46.024 M

    N46.025 M

    N46.029 M

    N46.11 M

    N46.121 M

    N46.122 M

    N46.123 M

    N46.124 M

    N46.125 M

    N46.129 M

    N46.8 M

    N46.9 M

  • N47.0 M

    N47.1 M

    N47.2 M

    N47.3 M

    N47.4 M

    N47.5 M

    N47.6 M

    N47.7 M

    N47.8 M

    N48.0 M

    N48.1 M

    N48.21 M

    N48.22 M

    N48.29 M

    N48.30 M

    N48.31 M

    N48.32 M

    N48.33 M

    N48.39 M

    N48.5 M

    N48.6 M

    N48.81 M

    N48.82 M

    N48.83 M

    N48.89 M

    N48.9 M

    N49.0 M

    N49.1 M

    N49.2 M

    N49.3 M

    N49.8 M

    N49.9 M

    N50.0 M

    N50.1 M

    N50.3 M

    N50.811 M

    N50.812 M

    N50.819 M

    N50.82 M

    N50.89 M

    N50.9 M

    N51 M

    N52.01 M

    N52.02 M

    N52.03 M

    N52.1 M

    N52.2 M

    N52.31 M

    N52.32 M

    N52.33 M

    N52.34 M

    N52.35 M

  • N52.36 M

    N52.37 M

    N52.39 M

    N52.8 M

    N52.9 M

    N53.11 M

    N53.12 M

    N53.13 M

    N53.14 M

    N53.19 M

    N53.8 M

    N53.9 M

    N70.01 F

    N70.02 F

    N70.03 F

    N70.11 F

    N70.12 F

    N70.13 F

    N70.91 F

    N70.92 F

    N70.93 F

    N71.0 F

    N71.1 F

    N71.9 F

    N72 F

    N73.0 F

    N73.1 F

    N73.2 F

    N73.3 F

    N73.4 F

    N73.5 F

    N73.6 F

    N73.8 F

    N73.9 F

    N74 F

    N75.0 F

    N75.1 F

    N75.8 F

    N75.9 F

    N76.0 F

    N76.1 F

    N76.2 F

    N76.3 F

    N76.4 F

    N76.5 F

    N76.6 F

    N76.81 F

    N76.89 F

    N77.0 F

    N77.1 F

    N80.0 F

    N80.1 F

  • N80.2 F

    N80.3 F

    N80.4 F

    N80.5 F

    N80.6 F

    N80.8 F

    N80.9 F

    N81.0 F

    N81.10 F

    N81.11 F

    N81.12 F

    N81.2 F

    N81.3 F

    N81.4 F

    N81.5 F

    N81.6 F

    N81.81 F

    N81.82 F

    N81.83 F

    N81.84 F

    N81.85 F

    N81.89 F

    N81.9 F

    N82.0 F

    N82.1 F

    N82.2 F

    N82.3 F

    N82.4 F

    N82.5 F

    N82.8 F

    N82.9 F

    N83.00 F

    N83.01 F

    N83.02 F

    N83.10 F

    N83.11 F

    N83.12 F

    N83.201 F

    N83.202 F

    N83.209 F

    N83.291 F

    N83.292 F

    N83.299 F

    N83.311 F

    N83.312 F

    N83.319 F

    N83.321 F

    N83.322 F

    N83.329 F

    N83.331 F

    N83.332 F

    N83.339 F

  • N83.40 F

    N83.41 F

    N83.42 F

    N83.511 F

    N83.512 F

    N83.519 F

    N83.521 F

    N83.522 F

    N83.529 F

    N83.53 F

    N83.6 F

    N83.7 F

    N83.8 F

    N83.9 F

    N84.0 F

    N84.1 F

    N84.2 F

    N84.3 F

    N84.8 F

    N84.9 F

    N85.00 F

    N85.01 F

    N85.02 F

    N85.2 F

    N85.3 F

    N85.4 F

    N85.5 F

    N85.6 F

    N85.7 F

    N85.8 F

    N85.9 F

    N86 F

    N87.0 F

    N87.1 F

    N87.9 F

    N88.0 F

    N88.1 F

    N88.2 F

    N88.3 F

    N88.4 F

    N88.8 F

    N88.9 F

    N89.0 F

    N89.1 F

    N89.3 F

    N89.4 F

    N89.5 F

    N89.6 F

    N89.7 F

    N89.8 F

    N89.9 F

    N90.0 F

  • N90.1 F

    N90.3 F

    N90.4 F

    N90.5 F

    N90.60 F

    N90.61 F

    N90.69 F

    N90.7 F

    N90.810 F

    N90.811 F

    N90.812 F

    N90.813 F

    N90.818 F

    N90.89 F

    N90.9 F

    N91.0 F

    N91.1 F

    N91.2 F

    N91.3 F

    N91.4 F

    N91.5 F

    N92.0 F

    N92.1 F

    N92.2 F

    N92.3 F

    N92.4 F

    N92.5 F

    N92.6 F

    N93.0 F

    N93.1 F

    N93.8 F

    N93.9 F

    N94.0 F

    N94.10 F

    N94.11 F

    N94.12 F

    N94.19 F

    N94.2 F

    N94.3 F

    N94.4 F

    N94.5 F

    N94.6 F

    N94.810 F

    N94.818 F

    N94.819 F

    N94.89 F

    N94.9 F

    N95.0 F

    N95.1 F

    N95.2 F

    N95.8 F

    N95.9 F

  • N96 F

    N97.0 F

    N97.1 F

    N97.2 F

    N97.8 F

    N97.9 F

    N98.0 F

    N98.1 F

    N98.2 F

    N98.3 F

    N98.8 F

    N98.9 F

    N99.110 M

    N99.114 M

    N99.116 M

    N99.12 F

    N99.2 F

    N99.3 F

    N99.83 F

    N99.89 F

    O00.00 F

    O00.01 F

    O00.101 F

    O00.102 F

    O00.109 F

    O00.111 F

    O00.112 F

    O00.119 F

    O00.201 F

    O00.202 F

    O00.209 F

    O00.211 F

    O00.212 F

    O00.219 F

    O00.80 F

    O00.81 F

    O00.90 F

    O00.91 F

    O01.0 F

    O01.1 F

    O01.9 F

    O02.0 F

    O02.1 F

    O02.81 F

    O02.89 F

    O02.9 F

    O03.0 F

    O03.1 F

    O03.2 F

    O03.30 F

    O03.31 F

    O03.32 F

  • O03.33 F

    O03.34 F

    O03.35 F

    O03.36 F

    O03.37 F

    O03.38 F

    O03.39 F

    O03.4 F

    O03.5 F

    O03.6 F

    O03.7 F

    O03.80 F

    O03.81 F

    O03.82 F

    O03.83 F

    O03.84 F

    O03.85 F

    O03.86 F

    O03.87 F

    O03.88 F

    O03.89 F

    O03.9 F

    O04.5 F

    O04.6 F

    O04.7 F

    O04.80 F

    O04.81 F

    O04.82 F

    O04.83 F

    O04.84 F

    O04.85 F

    O04.86 F

    O04.87 F

    O04.88 F

    O04.89 F

    O07.0 F

    O07.1 F

    O07.2 F

    O07.30 F

    O07.31 F

    O07.32 F

    O07.33 F

    O07.34 F

    O07.35 F

    O07.36 F

    O07.37 F

    O07.38 F

    O07.39 F

    O07.4 F

    O08.0 F

    O08.1 F

    O08.2 F

  • O08.3 F

    O08.4 F

    O08.5 F

    O08.6 F

    O08.7 F

    O08.81 F

    O08.82 F

    O08.83 F

    O08.89 F

    O08.9 F

    O09.00 F

    O09.01 F

    O09.02 F

    O09.03 F

    O09.10 F

    O09.11 F

    O09.12 F

    O09.13 F

    O09.211 F

    O09.212 F

    O09.213 F

    O09.219 F

    O09.291 F

    O09.292 F

    O09.293 F

    O09.299 F

    O09.30 F

    O09.31 F

    O09.32 F

    O09.33 F

    O09.40 F

    O09.41 F

    O09.42 F

    O09.43 F

    O09.511 F

    O09.512 F

    O09.513 F

    O09.519 F

    O09.521 F

    O09.522 F

    O09.523 F

    O09.529 F

    O09.611 F

    O09.612 F

    O09.613 F

    O09.619 F

    O09.621 F

    O09.622 F

    O09.623 F

    O09.629 F

    O09.70 F

    O09.71 F

  • O09.72 F

    O09.73 F

    O09.811 F

    O09.812 F

    O09.813 F

    O09.819 F

    O09.821 F

    O09.822 F

    O09.823 F

    O09.829 F

    O09.891 F

    O09.892 F

    O09.893 F

    O09.899 F

    O09.90 F

    O09.91 F

    O09.92 F

    O09.93 F

    O09.A0 F

    O09.A1 F

    O09.A2 F

    O09.A3 F

    O10.011 F

    O10.012 F

    O10.013 F

    O10.019 F

    O10.02 F

    O10.03 F

    O10.111 F

    O10.112 F

    O10.113 F

    O10.119 F

    O10.12 F

    O10.13 F

    O10.211 F

    O10.212 F

    O10.213 F

    O10.219 F

    O10.22 F

    O10.23 F

    O10.311 F

    O10.312 F

    O10.313 F

    O10.319 F

    O10.32 F

    O10.33


HIV/AIDS Care: The Diagnosis Code

HIV/AIDS Care: The Diagnosis Code

A CODE OF PRACTICE FOR THE DIAGNOSIS AND ...odt.nhs.uk/pdf/code-of-practice-for-the-diagnosis-and...5 A CODE OF PRACTICE FOR THE DIAGNOSIS AND CONFIRMATION OF DEATH I welcome the publication

A CODE OF PRACTICE FOR THE DIAGNOSIS AND ...odt.nhs.uk/pdf/code-of-practice-for-the-diagnosis-and...5 A CODE OF PRACTICE FOR THE DIAGNOSIS AND CONFIRMATION OF DEATH I welcome the publication

JOURNAL OF LA Diagnosis Code Assignment Using Sparsity ...uqxchan1/papers/tkde2015_final.pdf · Diagnosis Code Assignment Using Sparsity-based Disease Correlation Embedding Sen Wang,

JOURNAL OF LA Diagnosis Code Assignment Using Sparsity ...uqxchan1/papers/tkde2015_final.pdf · Diagnosis Code Assignment Using Sparsity-based Disease Correlation Embedding Sen Wang,

DIAGNOSTIC TROUBLE CODE DIAGNOSIS - Adriatic … Engine... · ENGINE CONTROLS 1F–55 DAEWOO M-150 BL2 DIAGNOSTIC TROUBLE CODE DIAGNOSIS CLEARING TROUBLE CODES Notice: To …

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SPECIES, DIAGNOSIS CODE - Professionals

SPECIES, DIAGNOSIS CODE - Professionals

Expansion of Diagnosis Code Requirements on Prescriptions for ...

Expansion of Diagnosis Code Requirements on Prescriptions for ...

Outpatient Hospital Services Provider Guide · ICD Changed references to “ICD-9 diagnosis code” to “ICD diagnosis code.” Updated ICD diagnosis codes to ICD-10 diagnosis codes.

Outpatient Hospital Services Provider Guide · ICD Changed references to “ICD-9 diagnosis code” to “ICD diagnosis code.” Updated ICD diagnosis codes to ICD-10 diagnosis codes.

Medical Policy Criteria: Obstructive Sleep Apnea Diagnosis ... · Medical Policy Criteria: Obstructive Sleep Apnea Diagnosis and Treatment (Commercial and Medicare Plans) oxygen saturation

Medical Policy Criteria: Obstructive Sleep Apnea Diagnosis ... · Medical Policy Criteria: Obstructive Sleep Apnea Diagnosis and Treatment (Commercial and Medicare Plans) oxygen saturation

Diagnosis Code Set General Equivalence Mappings - WEDI

Diagnosis Code Set General Equivalence Mappings - WEDI

FY09 ICD-9-CM Diagnosis Code Updates · FY09 ICD-9-CM Diagnosis Code Updates AHIMA 2008 Audio Seminar Series 3 Notes/Comments/Questions Summary of Diagnosis Changes Effective October

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Inappropriate Primary Diagnosis Codes Policy, Professional · reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare UnitedHealthcare

Inappropriate Primary Diagnosis Codes Policy, Professional · reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare UnitedHealthcare

CRHF ECONOMICS & HEALTH POLICY - Medtronic · ICD-9-CM to ICD-10-CM Diagnosis Code Crosswalk for CRHF services CRHF ECONOMICS & HEALTH POLICY

CRHF ECONOMICS & HEALTH POLICY - Medtronic · ICD-9-CM to ICD-10-CM Diagnosis Code Crosswalk for CRHF services CRHF ECONOMICS & HEALTH POLICY

Tuberculosis (TB) Diagnosis and Management Policy for the Isle … Diagnosis … · Tuberculosis (TB) Diagnosis and Management Policy for the Isle of Wight Document Author Authorised

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VEHSS Diagnosis Code Categories and Crosswalk · VEHSS Diagnosis Code Categories and Crosswalk 2-Level Organization of Conditions Vision and eye health diagnosis codes are grouped

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Ocrevus Referral Form · Diagnosis code*: G35 Multiple Sclerosis (MS) Relapsing Multiple Sclerosis (RMS) Primary Progressive Multiple Sclerosis (PPMS) Other diagnosis code: Has the

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POLICY CONTROL DOCUMENT - 1 POLICY TITLE … · 1 POLICY CONTROL DOCUMENT - 1 POLICY TITLE Standing Financial Instructions POLICY CODE Corp 02 REPLACES POLICY CODE (IF …

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a Code Of Practice For The Diagnosis And Confirmation Of Deathaomrc.org.uk/.../04/Code_Practice_Confirmation_Diagnosis_Death_100… · 6 A CODE OF PRACTICE FOR THE DIAGNOSIS AND CONFIRMATION

a Code Of Practice For The Diagnosis And Confirmation Of Deathaomrc.org.uk/.../04/Code_Practice_Confirmation_Diagnosis_Death_100… · 6 A CODE OF PRACTICE FOR THE DIAGNOSIS AND CONFIRMATION

Level That Visit, Code That Diagnosis, Document Your ...learn.pcc.com/wp/wp-content/uploads/UC2014_PediatricCodingUpdate… · Level That Visit, Code That Diagnosis, Document ...

Level That Visit, Code That Diagnosis, Document Your ...learn.pcc.com/wp/wp-content/uploads/UC2014_PediatricCodingUpdate… · Level That Visit, Code That Diagnosis, Document ...

Medicare G Codes - Care N' CareSince CMS does not require a specific diagnosis code for the AWV, you may choose any appropriate diagnosis code. You must report a diagnosis code. G0438

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Emergency Room Ancillary Services Policy, Facility€¦ · ancillary service(s). Claims submitted with Revenue Code 450 or 451 without an emergent diagnosis code from the emergent

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